Severe Mental Illness UK Medical PG Flashcards - Medical Study Cards
Master Severe Mental Illness with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Severe Mental Illness Flashcard Deck - 10 Cards
Flashcard 71: _____ dementia is a result of multiple arterial infarcts and/or chronic ischemia (e.g. hypertension, atherosclerosis, vasculitis)
Answer: Vascular
Flashcard 72:
What is the pharmacological management of vascular dementia?
_____
Answer: None; consider AChE inhibitors or memantine in comorbid Alzheimer's, Parkinson’s disease dementia, or dementia with Lewy bodies.
Main focus remains on ↓ cardiovascular risks
Flashcard 73: A hypertensive patient presents with sudden cognitive decline, then remains stable for 8 months and experiences another sudden drop in decline. What should you suspect?
_____
Answer: Vascular dementia
Flashcard 74: A stroke can x2 ↑ the risk of suffering from _____
Answer: dementia (vascular)
Flashcard 75:
What investigation can be used for lewy body dementia?
_____
Answer: DaTscan (I-FP-CT SPECT)
Flashcard 76: Lewy body dementia diagnostic criteria for 2/3 core clinical features:
_____
Parkinsonism
Fluctuating cognition
(Note: Fourth core feature is REM sleep behavior disorder)
Answer: Recurrent visual hallucinations
Extra: Core clinical features of Dementia with Lewy Bodies (DLB):
1. Fluctuating cognition with pronounced variations in attention and alertness.
2. Recurrent visual hallucinations that are typically well-formed and detailed.
3. REM sleep behavior disorder (RBD), which may precede cognitive decline.
4. One or more spontaneous cardinal features of parkinsonism.
Probable DLB diagnostic criteria:
- 2 or more core clinical features.
- 1 core clinical feature + 1 or more suggestive biomarker.
Flashcard 77: _____ dementia has a step-wise progression where the cognitive impairment will remain the same for months and then suddenly drop again as infarctions occur
Answer: Vascular
Flashcard 78: A patient with diagnosed dementia should notify the _____
Answer: DVLA
Flashcard 79: How does lewy body dementia & parkinson's dementia differ?
_____
Answer: Lewybody dementia: Dementia < 1 year before parkinsonian features
Parkinson's: Parkinsonism > 1 year before dementia
Flashcard 80: What is the 2nd most common type of dementia?
_____
Answer: Vascular
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